Precision PCI September 10-11, 2021 Video & Presentation Release FormThe Precision PCI symposium will be broadcast live online September 10-11, 2021. Faculty participants in this online symposium must agree to be video and audio recorded for the live broadcast as well as for archived content.By choosing "YES" below, I authorize the Precision PCI program to broadcast my participation live, and video and audio record my complete presentations(s) and panel commentary and consent to allow the use and reproduction of my name, presentation(s), and all materials contained in my presentation(s). My video and audio recorded presentation(s) and materials will only be used, reproduced and distributed within the context of the conference program. To the best of my knowledge, use, and reproduction of the materials or information used in my presentation(s) will not violate any third party’s copyrights or other property rights. To the extent copyrighted or trade secret materials are used, reproduced or displayed with my presentation(s), I have obtained written permission to use, reproduce, and distribute such materials from the copyright owner.Permission for Live Broadcast and Videotaping* YES, I give my permission to participate in the live broadcast and to be video and audio recorded for archived content to be posted after the symposium concludes NO, I do not give my permission to participate in the live broadcast and to be video and audio recorded for archived content to be posted after the symposium concludes Choosing "No" will preclude you from participating in the live online symposium. If you are unable to participate, please contact Rebecca Law to advise.Permission to share your slides with meeting participants*Faculty slides will be made available online in PDF format for attendees to access during and after the symposium in the online meeting syllabus. YES, I give my permission to share my slides as a PDF online with meeting attendees NO, I do not give my permission to share my slides as a PDF online with meeting attendees N/A, I will not be presenting slides Name* First Last Email*A copy of this completed form will be emailed to the address listed below. Enter Email Confirm Email Electronic Signature* Check this box to provide your electronic signature Date of Signature* MM slash DD slash YYYY
